{
  "resourceType": "StructureDefinition",
  "id": "zib-PressureUlcer",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer",
  "version": "1.0.4",
  "name": "Zib PressureUlcer",
  "title": "HCIM PressureUlcer",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen DecubitusWond v3.2(2017EN). A pressure ulcer is localized damage to the skin and/or underlying tissue, often over a bony prominence, as a result of pressure or pressure combined with friction. A pressure ulcer involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of pressure ulcers can lead to a fewer incidences and prevalence of pressure ulcers.",
  "purpose": "Information on the pressure ulcer is of importance in starting or continuing the best possible wound treatment, curatively and preventatively, and to be able to properly monitor the wound healing process.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-pressureulcer-v3.2-2017EN",
      "uri": "https://zibs.nl/wiki/PressureUlcer-v3.2(2017EN)",
      "name": "HCIM PressureUlcer-v3.2(2017EN)"
    },
    {
      "identity": "hcim-basicelements-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
      "name": "HCIM BasicElements-v1.0(2017EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "short": "PressureUlcer",
        "comment": "The individual component observations for this HCIM are captured using the [WoundCharacteristics profile](http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics).",
        "alias": [
          "DecubitusWond"
        ]
      },
      {
        "id": "Condition.extension:DateOfLastDressingChange",
        "path": "Condition.extension",
        "sliceName": "DateOfLastDressingChange",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange"
          }
        ]
      },
      {
        "id": "Condition.extension:DateOfLastDressingChange.value[x]",
        "path": "Condition.extension.value[x]",
        "short": "DateOfLastDressingChange",
        "definition": "The date on which the dressing was last changed.",
        "alias": [
          "DatumLaatsteVerbandWissel"
        ],
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.8",
            "comment": "DateOfLastDressingChange"
          }
        ]
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "short": "PressureUlcer",
        "alias": [
          "DecubitusWond"
        ],
        "binding": {
          "strength": "extensible",
          "valueSetUri": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000"
        },
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.1",
            "comment": "PressureUlcer"
          }
        ]
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Condition.code.coding:PressureUlcerCode",
        "path": "Condition.code.coding",
        "sliceName": "PressureUlcerCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.code.coding:PressureUlcerCode.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Condition.code.coding:PressureUlcerCode.code",
        "path": "Condition.code.coding.code",
        "min": 1,
        "fixedCode": "399912005"
      },
      {
        "id": "Condition.code.coding:PressureUlcerCode.display",
        "path": "Condition.code.coding.display",
        "defaultValueString": "Pressure ulcer"
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "short": "AnatomicalLocation",
        "alias": [
          "AnatomischeLocatie"
        ],
        "binding": {
          "strength": "extensible",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000",
            "display": "ProbleemAnatomischeLocatieCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-PressureUlcer-v3.2-2017EN",
            "map": "NL-CM:19.1.4",
            "comment": "AnatomicalLocation"
          }
        ]
      },
      {
        "id": "Condition.bodySite.extension:Laterality",
        "path": "Condition.bodySite.extension",
        "sliceName": "Laterality",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
          }
        ]
      },
      {
        "id": "Condition.bodySite.extension:Laterality.value[x]",
        "path": "Condition.bodySite.extension.value[x]",
        "short": "Laterality",
        "definition": "Laterality adds information about body side to the anatomic location, e.g. left",
        "alias": [
          "Lateraliteit"
        ],
        "binding": {
          "strength": "required",
          "description": "DecubitusWondLateraliteitCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.3--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.13",
            "comment": "Laterality"
          }
        ]
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.11",
            "comment": "Subject"
          }
        ]
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "short": "DateOfOnset",
        "definition": "The date on which the pressure ulcer appeared.",
        "alias": [
          "OntstaansDatum"
        ],
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.3",
            "comment": "DateOfOnset"
          }
        ]
      },
      {
        "id": "Condition.stage.summary",
        "path": "Condition.stage.summary",
        "short": "DecubitusCategory",
        "alias": [
          "DecubitusCategorie"
        ],
        "binding": {
          "strength": "extensible",
          "description": "DecubitusCategorieCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20171231000000",
            "display": "DecubitusCategorieCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.2",
            "comment": "DecubitusCategory"
          }
        ]
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "definition": "A comment of the decubitus wound."
      },
      {
        "id": "Condition.note.text",
        "path": "Condition.note.text",
        "short": "Comment",
        "definition": "A comment of the decubitus wound.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-PressureUlcer-v3.2-2017EN",
            "map": "NL-CM:19.1.5",
            "comment": "Comment"
          }
        ]
      }
    ]
  }
}